Day Case Gynaecology Surgery

Contents

1. Introduction

2. Managing complex patients via a day case pathway

I.   Preoperative assessment and preparation
II.  Scheduling patients
III. The day of admission
IV.  Patient discharge
V.   Case Study

3. Implementing a day case laparoscopic hysterectomy service

I.   Background
II.  Developing a pathway at TSDFT
III. Principles for safe day surgery management
IV.  Audit of outcomes

4. Pelvic floor surgery, defaulting your service to day surgery

I.   Developing a day case pathway
II.  The pilot phase
III. Current practice

5. Anaesthetic techniques for day case gynaecology

I.   Preoperative considerationis
II.  Intraoperative Anaesthesia
III. Postoperative medication

6. Moving gynaecology procedures into the outpatient clinic

I.   Staffing
II.  Patient selection
III. Preoperative preparation
IV.  Postoperative recovery and discharge
V.   Follow-up and audit
VI. Outpatient hysteroscopy
VII. Manual vacuum evaluation

7. Emergency gynaecology via a day case pathway

I.   Management of Bartholin's abscess
II.  Surgical management of miscarriage
III. Opportunistic streamlining of acute cases
IV.  Dedicated emergency ambulatory surgery lists

References